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FOCUS REPORT: MEDICAL BIOLOGY: PRIONS

A Summary Group from SCIENCE-WEEK
-------------------------------------------------

ON THE PRION HYPOTHESIS
Prions are a class of poorly understood proteins implicated in a
number of exotic human neurological diseases and in some common
animal diseases such as sheep scrapie and bovine spongiform
encephalopathy in cattle ("mad cow disease"). One human disease
in which prions have been strongly implicated is Creutzfeldt-
Jakob disease, which appears to have a genetic basis in about 15%
of the cases. The prion protein (denoted as PrP) is encoded by
the host's chromosomal DNA, and an abnormal *isoform of the
protein is the only known component associated with disease
transmissibility. This abnormal isoform differs physically from
the normal "cellular" protein form by its high *beta-sheet
content, its insolubility in detergents, its propensity to
aggregate, and its relative resistance to proteolysis.
... ... In a short review of the present status of research on
prions, D. Westaway et al make the following points: 1) The
benign cellular prion form, called Prp(supC) is a molecule that
is most probably present in all mammals and expressed on the
surfaces of neurons via a glycophosphatidylinositol anchor. The
pathogenic form of the prion protein is called Prp(supSc) (Sc =
scrapie) or Prp(sup res) (res = resistant to protease), and the
cellular form apparently serves as a necessary precursor to the
pathogenic form. 2) It is presently unclear whether subtypes of
pathogenic prion protein are the true infectious agent, or
whether such preparation harbor cryptic agents such as viruses or
proviruses (nonviral or previral nucleic acid entities). 3) The
simplest form of the "protein only" prion hypothesis proposes
that infectious molecules can be produced by coercing the normal
protein to adopt pathogenic conformations. 4) At least 11
possible prion ligands have been identified by in vitro binding
and other techniques, but the situation concerning ligands is
unclear: a) in no case have independent methods identified the
same ligand in an unequivocal fashion; b) in no case have binding
sites been mapped on prion proteins; c) in no case have ligand-
prion binding affinities been estimated; and, d) in no case have
any genetic methods been used to demonstrate binding in vivo. 5)
In summary, although the prion hypothesis is not universally
accepted, even skeptics concede that the prion protein is somehow
involved in the control of disease susceptibility. At the other
theoretical extreme, prion proteins are believed to comprise the
prototype of a new class of infectious pathogens, with protein
misfolding as a novel mechanism of pathogenesis, and with the
suggestion that simple organisms may use prion-like mechanisms to
switch physiological states and thereby adapt to new
environments.
-----------
D. Westaway et al (3 authors at 3 installations, CA UK US)
Prions.
(Proc. Natl. Acad. Sci. US 15 Sep 98 95:11030)
QY: David Westaway, University of Toronto 416-979-4901
-----------
Text Notes:
... ... *isoform: Any one of the multiple forms of a functional
protein that differ in amino acid sequence and
electrophoretic mobility.
... ... *beta-sheet: (beta-conformation) One type of protein
secondary structure.
-------------------
Summary & Notes by SCIENCE-WEEK <http://scienceweek.com> 23Oct98
-------------------
Related Background:
A TRANSMEMBRANE FORM OF THE PRION PROTEIN
A transgenic mouse is a mouse into which genetic material from
another organism has been transferred, the transferred and
incorporated new mouse genes then being expressed with the
resultant production of specific proteins. Prions are a class of
poorly understood proteins implicated in a number of exotic human
neurological diseases and in some common animal diseases such as
sheep scrapie and bovine spongiform encephalopathy in cattle
("mad cow disease"). The "endoplasmic reticulum" is an extensive
system of flattened membranous sacs in the cytoplasm of cells,
important in protein and lipid biosynthesis, translocation of
synthesized molecules, and continuous with the nuclear envelope.
... ... Hegde et al (9 authors at Univ. of California San
Francisco, US) report a study with transgenic mice expressing
prion protein mutations that alter the relative ratios of the
topological forms of the molecule. Expression of a particular
endoplasmic reticulum transmembrane form (Ctm) of the protein
produced neurodegenerative changes in mice similar to those of
some genetic prion diseases, and brains from these mice contained
this form of the protein but not the isoform responsible for
transmission of prion diseases. The authors suggest that aberrant
regulation of protein biogenesis and topology at the endoplasmic
reticulum can result in neurodegeneration, and that proteins
undergoing topological regulation such as Ctm-prion protein may
be involved in neurogenerative diseases besides those currently
attributed to prions.
QY: Vishwanath R. Lingappa <[EMAIL PROTECTED]>; Stanley B.
Prusiner, Univ. of Calif. San Francisco 415-476-4044.
(Science 6 Feb 98) (Science-Week 20 Feb 98)
-------------------
Related Background:
ON PROTEIN FOLDING IN PRION AND AMYLOID DISEASES
What is remarkable about prions is that although they behave as
infectious agents, they are 100 times smaller than viruses and
their mechanism of replication is unknown. All the prion diseases
are apparently associated with the accumulation in the brain of
an abnormal protease-resistant isoform of the prion protein PrP.
In other words, an abnormal variant of the normal PrP is somehow
copied or produced by the disease process, which can be initiated
by introducing infectious prion into the system. Denaturation is
an irreversible change in solubility and other properties of
proteins when they are exposed to various conditions, including
heat and an acidic environment. The denatured protein essentially
loses all its higher order structure and becomes a simple
uncoiled/unfolded polymer. A lysosome is a cytoplasmic
membrane-bound vesicle 5 to 8 nanometers in diameter and
containing a variety of glycoprotein hydrolytic enzymes used to
digest foreign material or defective organelles. The term
"amyloid" refers to a group of chemically diverse proteins
composed of linear nonbranching aggregated fibrils that occur as
pathological extracellular deposits in various diseases
(including several neurodegenerative diseases).
... ... J. Kelly (Scripps Research Institute, US), in a comment-
ary on prion proteins, suggests that the conversion of normal to
pathogenic prion protein likely occurs in the partially denatur-
ing environment of a cellular compartment such as a lysosome,
where the lower pH environment (or another factor-environment)
"effects the conformational changes that facilitate amyloid and
prion self-assembly". The author suggests that using the
structure of normal prion protein to design high-affinity ligands
to what appear to be critical higher-order molecular structure
regions may lead to an understanding of the structural changes
required for pathogenic amyloid fibril formation.
QY: Jeffrey W. Kelly, Scripps Research Institute 619-784-1000
(Proc. Natl. Acad. Sci. US 3 Feb 98)
(Science-Week 20 Feb 98)
-------------------
Related Background:
A CRITICISM OF THE PRION HYPOTHESIS
Spongiform encephalopathies are a type of brain disease found in
humans and animals and are characterized by macroscopic vacancies
produced by the disease process (the brain has a sponge-like
appearance). "Transmissible spongiform encephalopathies" such as
bovine spongiform encephalopathy ("mad cow disease") and human
Creutzfeldt-Jakob disease are diseases that apparently involve an
infectious agent. Prions are a class of poorly understood
proteins implicated in transmissible spongiform encephalopathies,
but there is controversy about this, since the details of the
prion infectious process are unknown (cf. background material
below). ... ... Now C. Farquhar (Institute for Animal Health
Edinburgh, UK), in a letter to the journal Nature, notes that the
prion hypothesis is far from proven, and that alternative hypo-
theses of the nature of the causative agent of the transmissible
spongiform encephalopathies are being misrepresented and dismiss-
ed. The "virino" hypothesis, for example, which is not a convent-
ional virus hypothesis, proposes an agent-specific replicable
informational molecule, yet to be identified, bound to a protect-
ive host prion protein. The author emphasizes that the precise
nature of a prion still eludes identification, and that the prion
hypothesis has yet to explain satisfactorily the many strains of
transmissible spongiform encephalopathies. In conclusion, the
author suggests that the discovery of an informational molecule
with strain-specific properties, for example a nucleic acid,
would refute a prion protein-only hypothesis, and that until the
matter is settled, it should be recognized there may be more to
the biological diversity of transmissible spongiform
encephalopathies than prion protein.
QY: Christine F. Farquhar <[EMAIL PROTECTED]>
(Nature 22 Jan 98)
-------------------
Related Background:
MORE EVIDENCE THAT PRION PROTEIN BINDS COPPER IN VIVO
... A chelate is a metal coordination complex in which one ligand
coordinates at two or more points to the same metal ion, and a
glycine chelate is a chelate involving the amino acid glycine.
Brown et al (13 authors at 4 installations, DE CA UK) report that
the amino-terminal domain of normal prion protein exhibits 5 to 6
sites that bind copper presented as a glycine chelate, that
genetically engineered mice deprived of prion protein show severe
copper reductions in various cell membrane fractions and altered
electrophysiological responses to excess copper. The authors
suggest their findings indicate that normal prion protein can
exist in a copper-metalloprotein form in vivo, and that like
other cuproproteins implicated in the pathogenesis of neurolog-
ical disease, prion proteins may regulate copper distribution.
QY: Hans Kretschmer <[EMAIL PROTECTED]>
(Nature 18/25 Dec 97)
-------------------
Related Background:
AN APPARENT INVOLVEMENT OF PRION PROTEIN IN COPPER BINDING
Copper is essential as a trace metal for the function of certain
enzymes and other biomolecules, but even a moderate excess can be
highly toxic in certain tissues. ... At a recent meeting of the
Society for Neuroscience (24-30 Oct New Orleans, US) David Brown
(Univ. of Cambridge, UK) reported that normal prion protein
apparently binds copper ions and thus protects neurons against
the cytotoxic effects of the metal. He suggests the transformed
disease-causing prion protein might not be able to perform this
important function. But this idea is not without problems, since
there is evidence that in genetically engineered mice without
normal prion protein there is no resulting pathology -- which in
turn suggests it is the transformed protein that is directly
pathogenic. (Science 21 Nov 97)
-------------------
Related Background:
PRION DISEASES AND BOVINE SPONGIFORM ENCEPHALOPATHY
... Prions are apparently able to induce certain other proteins
into pathogenic conformations, and these proteins in turn can
cause the same effect in other proteins of the same class. None
of this is yet well understood. One human disease in which prions
have been strongly implicated is Creutzfeldt-Jakob disease (CJD),
which appears to have a genetic basis in about 15% of the cases.
Recently, there has been much concern in Europe concerning the
possible infection of humans who might eat meat from
prion-infected cows. The fears were at first dismissed by the
medical community because of lack of evidence to support the
idea, but recently some evidence has appeared, and the level of
concern has increased significantly. Stanley B. Prusiner, who
recently received the Nobel Prize in Physiology and Medicine for
his work with prions, reviews the relation between prion diseases
and the current bovine spongiform encephalopathy crisis. The
author urges more attention to the fatal disorders of protein
conformation that are apparently involved in prion diseases, and
he suggests studies of prion proteins may have important
applications to understanding Alzheimer's disease, Parkinson's
disease, and amyotrophic lateral sclerosis.
QY: S. B. Prusiner, Univ. of Calif. San Francisco, Neurology
(415) 476-4044.
(Science 10 Oct 97)
-------------------
Related Background:
... Andrew F. Hill et al (8 authors at 3 installations, UK)
report that the biological and molecular transmission charac-
teristics of a variant of human Creutzfeldt-Jakob disease are
consistent with it being the human counterpart of bovine spongi-
form encephalopathy; and M. E. Bruce et al (13 authors at 4
installations, UK) report that interim results of transmissions
of sporadic classical Creutzfeldt-Jakob disease and the new
variant Creutzfeldt-Jakob disease to mice, such transmissions
producing effects apparently identical to those produced by
transmissions of bovine spongiform encephalopathy to mice,
provide strong evidence that the same agent strain is involved in
both bovine spongiform encephalopathy and Creutzfeldt-Jakob
disease.
QY: John Collinge, Prion Disease Group, Imperial College, London
UK; M. E. Bruce <[EMAIL PROTECTED]>
(Nature 2 Oct 97)
-------------------
Related Background:
... Rudi Glockshuber et al (Swiss Federal Institute of Tech-
nology) report the first complete determination of the
structure of a full-length prion protein: 208 amino acids,
including a trio of helices and an unfolded tail 97 amino acids
long. Evidence indicates it is the unfolded tail that may be
involved in disease processes. Chemical techniques were used to
reconstitute the folding of the full-length protein, and then
nuclear magnetic resonance was used to determine the structure.
This may be an important step to understanding how prions become
pathogenic. (F.E.B.S. Letters 18 Aug 97)
-------------------
Related Background:
... Thomas Blattner et al (University of Zurich, CH) report that
mutant mice that do not produce normal PrP cannot be infected by
the scrapie producing prion variant that ordinarily infects mice
that do produce the normal protein. They conclude that transfer
of infectivity to the central nervous system, the major event in
the disease process, is crucially dependent on the expression of
PrP in some as yet unknown tissue compartment. The fact that
there is at least a useful laboratory animal model for the study
of these poorly characterized infectious agents leaves one
optimistic that an understanding of the essentials of prion
pathogenesis may soon be forthcoming. QY: Adriano Aguzzi
<[EMAIL PROTECTED]> (Nature 4 Sep 97)


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